On-line PCPO Teacher Contract Survey Form

PCPO collects and distributes salary and benefit information each year to aid teachers and presidents in contract negotiations. In order for the information to be accurate we need your help in giving us complete data. We can present data that is truly representative of PCPO teachers only if we receive enough completed surveys.
Both presidents and teachers should keep a copy of this form each year in your personnel file, in order to chart progress toward individual teacher goals and for contract negotiation. Individual information will be kept strictly confidential. Please return one form per teacher.

Click here if you would like a few hints that may speed you along in filling out this form.

  • Important: Use the Enter key only when you are ready to submit the form or when you are in a multiline field, like the explanation or message box. Using  the Enter key in single line fields will submit the form before you are finished. You can use the Tab key to go between the boxes in an orderly manner, or just click your mouse in the box you wish to edit.
  • We will use gray colored areas like this one to give you examples.
  • Sometimes there will be explanatory text in the box. Just select and type over it.
  • Use the boxes below to enter your information.

Hint: You do not have to be connected to the Internet while filling out this form. You can fill out the form, check for accuracy and completeness, and then reconnect to the Internet and click on the send button. (You can only view the hints page while on-line.)

School

Teacher

Merit Level  (required)

If you would like to determine your PCPO Merit Level, click here.

Number of half-day sessions taught during a week

Class sessions start on

Last class day is 

First required work day
 (include set-up)

Last required 
work day is 

Number of paid leave days:

Sick

Personal

Professional

Salary Information
Annual base pay (before any withholding or taxes are taken out):

Other compensation

Check if included in base pay?

Amounts in addition
to base pay

Medical Insurance

 

Dental Insurance & Life Insurance*

 

*Please explain what items are paid for, and how this amount affects your base pay.

Retirement

 

Professional dues - per year

 

Workshop/class fees - per year

 

Childcare

 

Parent Meetings - per meeting

 

Evening/weekend activities

 

Teacher Meetings - per meeting